- Putti Platt:
- tightening, & realigning of subscapularis which partially limits external rotation;
- anterior capsule is also realinged and reenforced;
- subscapularis is divided 2.5 cm from its insertion;
- anterior shoulder capsule is opened in same plane as tendon is divided allowing joint to be inspected;
- some advocate separation of capsule from overlying subscapularis tendon;
- lateral stump of the tendon is secured to most convenient soft tissue structure along the anterior rim of the glenoid cavity;
- opposition of lateral stump into anterior soft tissues of medial stump into greater tuberosity is determined so that arm externally rotates to neutral position;
- DuToit Staple Capsulorrhaphy;
- detached capsule is secured back to the glenoid using staples;
- use of staples for surgical repairs may be assoc w/ complications;
- transfers the tip of the coracoid process with its muscle attachments & creates a musculotendinous sling across the anteroinferior tendon at the front of the glenohumeral joint
The modified Bristow procedure for recurrent dislocation of the shoulder.
A modified Bristow-Helfet-May procedure for recurrent dislocation and subluxation of the shoulder. Report of two hundred and twelve cases.
Original Text by Clifford R. Wheeless, III, MD.
Last updated by Data Trace Staff on Monday, July 2, 2012 7:22 pm